STEPHANIE R GAXIOLA Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012192

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

GAXIOLA

Business Name

STEPHANIE R GAXIOLA

Original Issue Date

10/24/2006

Effective Date

11/30/2025

Expiration Date

11/30/2027

City

NOVATO

State

Zip

94949

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

11/30/2025